Miles breaks out of the wheelchair restraints and navigates through other "operating rooms" where a patient talks to him and reveals that he is an executive like Trager. The patient then starts to shout Trager's name and he finally appears to investigate. Trager kills the patient before going back to the operating room to check on Miles, which reveals that he has escaped his confines, Trager then scours the place to find Miles.
After Miles retrieves the key and uses it to start the manually-operated elevator, Trager breaks into it from the floor bellow in an attempt to get to Miles, but Miles struggles and pushes him out. Trager's upper torso is still inside the elevator as it begins to move, and he is crushed to death in the process. Miles then escapes through a hatch in the elevator ceiling.